Journal of Multidisciplinary Healthcare最新文献

{"title":"Factors Associated with Healthy Behavior for Preventing Non-Communicable Diseases.","authors":"Nursiswati Nursiswati, Candradewini Candradewini, Deasy Silvya Sari, Suci Ayu Kurniasih, Kusman Ibrahim","doi":"10.2147/JMDH.S504338","DOIUrl":"10.2147/JMDH.S504338","url":null,"abstract":"<p><strong>Background: </strong>The increasing burden of Non-Communicable Diseases (NCDs) in both low- and high-income ASEAN countries highlights an urgent need for effective management and prevention strategies. These strategies are critical for reducing premature deaths, alleviating the healthcare costs, and saving lives. Unhealthy lifestyle behaviors, such as poor dietary habits, lack of physical activity, alcohol consumption, and inadequate sleep, significantly elevate the risk of metabolic syndrome and other NCDs.</p><p><strong>Purpose: </strong>Mapping the literature on factors related to healthy behaviors for preventing and managing NCDs among college students in ASEAN countries.</p><p><strong>Methods: </strong>A Scoping Review with a PCC (Population-Concept-Context) framework and was referred to the Scoping Review Framework by Arksey and O'Malley. This article reviewed both qualitative and quantitative studies, restricted to full-text articles in English and Indonesian published from 2020 to 2024, focused on University Students, Healthy Behaviour, conducted in ASEAN countries.</p><p><strong>Results: </strong>Of the 1166 articles, 7 studies, involving 71,923 participants, met the criteria. The findings indicate that internal (eg, dietary habits, sleep quality, and mental well-being) and external factors, (eg, student knowledge and perception, and the Health University Framework (HUF)) are significantly associated with health behaviors among university students. Several studies also demonstrate a relationship between healthy behavior and students' psychological conditions and susceptibility to cardiovascular disease.</p><p><strong>Conclusion: </strong>This review found that internal factors, such as dietary habits, sleep quality, BMI, along with external factors, including HUF Implementation and students' knowledge and perceptions, significantly influence healthy behaviors among university students in ASEAN. These factors related with psychological well-being and cardiovascular disease risk. Therefore, effective interventions and implementation of the holistic AUN-HPN HUF framework in universities are essential for preventing and managing NCDs among young adults.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1597-1613"},"PeriodicalIF":2.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhanced Diagnostic Precision in Revisited Emergency Patients via Point-of-Care Ultrasound: A Tool for Emergency Department Quality Management.","authors":"Kamonwon Ienghong, Sukanya Khemtong, Lap Woon Cheung, Korakot Apiratwarakul","doi":"10.2147/JMDH.S507075","DOIUrl":"10.2147/JMDH.S507075","url":null,"abstract":"<p><strong>Purpose: </strong>Unscheduled return visits to the emergency department (ED) were categorized into physician-related, illness-related, and patient-related factors, which are associated with an increased risk of adverse health outcomes, including patient dissatisfaction, infections, hospitalization, transfer to another facility, and mortality. Individuals within 48-72 hours of the initial visit are deemed at elevated risk for diagnostic or management-related errors. The Point-of-care ultrasound (POCUS) may serve as a bedside tool to reduce medical errors by enhancing diagnostic precision. This study aims to determine the diagnostic accuracy of POCUS for detecting various illnesses in revisited patients in the emergency department.</p><p><strong>Patients and methods: </strong>A retrospective observational study was conducted on unplanned revisits by patients to the emergency department within 72 hours, spanning the period from January 2023 to September 2024. Sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio were evaluated based on electronic emergency department medical records and ultrasound documentation.</p><p><strong>Results: </strong>Five hundred seventy patients were included in this study. POCUS demonstrated a diagnostic accuracy of 75.61% (95% CI 71.87, 79.09), a sensitivity of 81.87% (95% CI 77.65, 85.58), a specificity of 62.50% (95% CI 55.08, 69.51), a positive likelihood ratio of 2.18 (95% CI 1.80, 2.65), and a negative likelihood ratio of 0.29 (95% CI 0.23, 0.37).</p><p><strong>Conclusion: </strong>POCUS demonstrated greater diagnostic accuracy, which may enhance diagnostic precision in revisited patients with various illnesses.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1549-1556"},"PeriodicalIF":2.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between E-Health Literacy, Health Anxiety, Cyberchondria, and Death Anxiety in University Students That Study in Health Related Department.","authors":"Bahar Kefeli Col, Ayse Gumusler Basaran, Burcu Genc Kose","doi":"10.2147/JMDH.S513017","DOIUrl":"10.2147/JMDH.S513017","url":null,"abstract":"<p><strong>Introduction: </strong>While the Internet can be a valuable resource for learning about health issues, for those without adequate e-health literacy skills, it can have adverse effects on unwanted anxiety and cyberchondria risk. Improving e-health literacy is essential to manage health and death anxiety and help reduce the risk of cyberchondria. The aim of this study is to determine the e-health literacy, health anxiety, cyberchondria and death anxiety levels of university students, evaluate them in terms of independent variables and examine the relationship between the scales.</p><p><strong>Methods: </strong>The study was completed with 568 students receiving education in the health department of a university. Data were obtained using the e-Health Literacy Scale, Health Anxiety Inventory, Cyberchondria Severity Scale, and Death Anxiety Scale. The chi-square, Mann-Whitney U, Kruskal-Wallis, Tamhane's T2 post hoc tests, and Spearman correlation were used to analyze the data.</p><p><strong>Results: </strong>The mean score of e-health literacy was 28.63±4.65; health anxiety was 19.11±8.37, cyberchondria was 86.30±18.28 and death anxiety was 7.34±2.14. Cyberchondria is low in women and those who do not conduct online research on health. E-health literacy was higher in those earning above the minimum wage. Health and death anxiety was low in men and in those who did not conduct online health-related research. Health anxiety was positively correlated with cyberchondria and death anxiety and negatively correlated with e-health literacy. There was a positive relationship between cyberchondria and E-health literacy and death anxiety. This study highlights the complex relationship between eHealth literacy, health anxiety, cyberchondria and death anxiety. It shows that low e-health literacy can increase health anxiety, which in turn can worsen cyberchondria and death anxiety. By emphasising the importance of e-health literacy in health education, the findings may help students manage their anxiety, make informed health decisions, and increase their professional competence.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1581-1595"},"PeriodicalIF":2.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application Effectiveness of a Pre-Analytical Quality Management Pathway Based on the Structure-Process-Outcome Model.","authors":"Liping Cui, Wanling Li, Yueqin Li, Xiaofang Feng, Yue Wang, Pei Gao","doi":"10.2147/JMDH.S486258","DOIUrl":"10.2147/JMDH.S486258","url":null,"abstract":"<p><strong>Objective: </strong>This single-center, before-and-after study applied the structure-process-outcome (SPO) model to pre-analytical quality control to investigate its effect on laboratory testing quality, nursing practices, patient satisfaction, and clinician trust in test results.</p><p><strong>Methods: </strong>A before-and-after design was conducted in a provincial Class A tertiary hospital. The control group (April-September 2022) and observation group (April-September 2023) each included all laboratory specimens and 550 clinical nurses (from the same wards). The SPO-guided pre-analytical quality management pathway involved forming a multidisciplinary team, establishing a grid management system, implementing a non-punitive reporting system, standardizing specimen collection, and developing a quality management information system. Groups were compared on non-compliant test sample rates, nurses' knowledge, beliefs, and behaviors, operational standardization, patient satisfaction, and clinical doctors' trust. Data were analyzed using t-tests (with effect sizes) and <i>χ²</i>-tests; confidence intervals and multiple-comparison corrections were also applied.</p><p><strong>Results: </strong>The observation group showed significantly lower rates of non-compliance in sample type, collection container, volume, contaminated blood cultures, and coagulated samples (all p < 0.01, with 95% confidence intervals). Nurses' knowledge (Cohen's d = 0.44) and behaviors (Cohen's d = 1.56) improved significantly. Operational standardization (92.5 ± 3.2 vs 85.7 ± 4.1), patient satisfaction (93.8% vs 87.2%), and clinical doctors' trust (91.2% vs 84.5%) also increased significantly (p < 0.01).</p><p><strong>Conclusion: </strong>The SPO-based pre-analytical quality management pathway significantly improved non-compliant sample rates, nurses' knowledge and behavior, operational standardization, patient satisfaction, and clinical trust in test results. This approach may serve as a reference for other institutions aiming to enhance pre-analytical quality management.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1571-1579"},"PeriodicalIF":2.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence Summary of Early Enteral Nutrition Support for Adult Patients with Extracorporeal Membrane Oxygenation (ECMO).","authors":"Jixiang Guo, Zhiyi Wang, Aiqun Liang, Zhi Qu, Hanru Bao, Kexi Pei, Xiaoping Luo","doi":"10.2147/JMDH.S513246","DOIUrl":"10.2147/JMDH.S513246","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to systematically review and summarize the evidence on early enteral nutrition (EEN)support for Extracorporeal Membrane Oxygenation (ECMO)patients, Offer evidence-based guidance to healthcare professionals, including doctors and nurses, to inform their clinical practices.</p><p><strong>Methods: </strong>Using the \"6S\"evidence-based model, we searched multiple databases including UpToDate, Best Practice, Guideline International Network (GIN), National Guideline Clearinghouse (NGC),Registered Nurses' Association of Ontario (RNAO), Joanna Briggs Institute (JBI), Evidence-Based Healthcare Center database, the Cochrane Library, PubMed, Embase, Web of Science, China National Knowledge Infrastructure (CNKI),Wanfang Database, and Chinese Biomedical Literature Database (CBM). Aiming to find evidence on early enteral nutrition support for adult patients with extracorporeal membrane oxygenation. The search included clinical decisions, guidelines, systematic reviews, evidence summaries, and expert consensus. The time frame for the search was from the inception of the databases to September 10, 2024.Two researchers evaluated the quality of the collected literature and extracted data and summarized evidence from publications that met the quality criteria.</p><p><strong>Results: </strong>We retrieved 13 relevant documents, consisting of 6 guidelines, 3 expert consensus papers, 2 clinical decision-making articles, and 2 cohort studies. Through summarization and induction, a total of 26 best evidence pieces were obtained across five aspects: the establishment of nutritional support plans; strategies and risk assessment for enteral nutrition; the implementation of early enteral nutrition supplementation strategies; the amount and composition of nutrients reaching standard intake; and prevention of enteral nutrition-related complications.</p><p><strong>Conclusion: </strong>This study has summarized the evidence regarding early enteral nutrition support for adult patients with extracorporeal membrane oxygenation (ECMO). It provides an evidence-based foundation for the practice of nursing and assists medical staff in developing personalized nutrition management plans for enteral nutrition support in ECMO patients.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1557-1569"},"PeriodicalIF":2.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927578/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Qualitative Study on Cryptogenic Hepatic Encephalopathy Screening Cognition Among Hepatology Medical Care Personnel.","authors":"Xiao-Qin Li, Wen Cao, Tian-Tian Yin, Rui Lu, Yang Li, Ya-Yun Sha","doi":"10.2147/JMDH.S508992","DOIUrl":"10.2147/JMDH.S508992","url":null,"abstract":"<p><strong>Objective: </strong>In this study, we focused on gaining an in-depth understanding on the attitudes and perceptions of hepatology healthcare professionals toward screening for cryptogenic hepatic encephalopathy (CHE), with the goal of providing references for the scientific and standardized implementation of CHE screening.</p><p><strong>Study methods: </strong>Based on the phenomenological research method, semi-structured in-depth interviews with nine medical professionals were conducted in March 2023 at the department of hepatology of a tertiary hospital in Taizhou city. The collected data was then integrated and analyzed using the Colaizzi seven-step method.</p><p><strong>Results: </strong>Three main themes and seven sub-themes were identified: Inadequate knowledge of relevant information (inadequate knowledge of CHE, inadequate knowledge of neuropsychological test tools for CHE); positive attitudes toward screening for cirrhosis CHE; and screening factors (limited human resources, lack of stringent rules from the management, inability to properly use neuropsychological test tools, lack of cooperation from patients and their families, and lack of auxiliary means of screening).</p><p><strong>Conclusion: </strong>Hepatology medical care personnel had a favorable outlook on CHE screening, however there is room for improvement in both their level of knowledge and clinical work. As a result the administrative departments of hospitals should focus on the factors affecting the clinical work of hepatology medical care personnel and formulate corresponding countermeasures. Emphasis should be placed on the screening and management of CHE for early recognition, early intervention, improvement of quality of life, and effective prevention of hepatic encephalopathy.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1539-1547"},"PeriodicalIF":2.7,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11921800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143663799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Food-Related Coercion in Intellectual Disabilities: A Study on Challenges and Support in Norway.","authors":"Monica Røstad, Richard Whittington, Erik Søndenaa","doi":"10.2147/JMDH.S504229","DOIUrl":"10.2147/JMDH.S504229","url":null,"abstract":"<p><strong>Introduction: </strong>This article explores the use of coercion to address significant food-related challenges among individuals with intellectual disabilities in Norway. The goal was to examine how food-related coercion differs from non-food coercion and to document the challenges and support methods, given the limited information available on this topic. The study aims to enhance understanding and potentially reduce the use of coercion.</p><p><strong>Methods: </strong>The study analyzed coercive decision documents from municipalities using quantitative cross-sectional and cohort-longitudinal designs. The cross-sectional design included 120 decisions from 2020, comparing food-related (44) and non-food-related (76) coercion. The cohort-longitudinal design tracked the 44 individuals subjected to food-related coercion from 2018 to 2021, identifying characteristics of these decisions over four years.</p><p><strong>Results: </strong>In the cross-sectional analysis (n=120), food-related coercive measures were linked to overweight, diagnoses of stomach and intestinal issues, and general somatic health challenges. The average age was higher. The cohort-longitudinal study (n=44) highlighted a distinction between challenges related to consuming food and managing food itself. There was limited support and follow-up from general practitioners and clinical dietitians.</p><p><strong>Discussion: </strong>The study discusses the relationship between health knowledge and behavioral challenges in implementing coercion to regulate access to food and drink. It also addresses how behavior regulation can overshadow the need for measures related to preventing and managing lifestyle challenges.</p><p><strong>Conclusion: </strong>There is a need for comprehensive expertise in health and lifestyle diseases within services for people with intellectual disabilities. The lack of follow-up from general practitioners and dietitians, along with the absence of systematic interventions, indicates a significant gap in support for issues related to obesity, overeating, and uncritical food intake. Legislation aims to prevent significant damage and the use of coercion but may overshadow underlying lifestyle diseases by focusing on behavioral challenges without addressing lifestyle issues.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1523-1537"},"PeriodicalIF":2.7,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11920636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare Professionals' Knowledge, Attitudes, and Practices Towards Stem Cell Therapy for Sarcopenia: A Cross-Sectional Study in Beijing.","authors":"Yao Wang, Zhe Wang, Yanan Gao, Tianru Zheng, Tingting Liu","doi":"10.2147/JMDH.S496326","DOIUrl":"10.2147/JMDH.S496326","url":null,"abstract":"<p><strong>Background: </strong>Sarcopenia significantly impacts the aging population, and this study investigates healthcare professionals' knowledge, attitudes, and practices (KAP) towards stem cell therapy for sarcopenia.</p><p><strong>Methods: </strong>A cross-sectional study was conducted between January 1, 2024, and March 10, 2024, in medical institutions across Beijing. The study included healthcare professionals aged 18-70 years who completed a self-designed KAP questionnaire (Cronbach's α=0.917). Positive KAP was defined as scoring above 80% of the total score for each dimension.</p><p><strong>Results: </strong>A total of 451 healthcare professionals participated in the study, with 66.7% female and 41.0% aged 40-49 years. The knowledge, attitude, and practice were 18.00 [10.00, 24.00] (possible range: 12-24), 25.00 [23.00, 30.00] (possible range: 6-30), and 21.00 [16.00, 30.00] (possible range: 7-35), respectively. Of these respondents, 13.7% were healthcare workers in the geriatrics department, who had a positive knowledge score of 22.00 [14.00, 24.00] and a positive attitude score of 29.50 [24.00, 30.00], but their practice scores remain moderate at 27.00 [20.00, 35.00]. Additionally, 140 (31.0%) had treated sarcopenia patients within six months and 277 (61.4%) were employed at public tertiary hospitals with positive knowledge. Multivariate logistic regression indicated that not having treated patients with sarcopenia in the past six months was independently associated with poor knowledge (OR = 0.30, 95% CI: [0.15, 0.62], p = 0.001). Mediating effect analysis showed that knowledge directly affected both attitude (β = 0.475, p < 0.001) and practice (β = 0.127, p = 0.004), and indirectly influenced practice through attitude (β = 0.296, p < 0.001).</p><p><strong>Conclusion: </strong>Healthcare professionals exhibited inadequate knowledge, positive attitudes and inactive practices towards stem cell therapy for sarcopenia. Disease-related healthcare has positive knowledge, but moderate practice. Educational programs are essential to improve knowledge and foster proactive practices among healthcare professionals regarding stem cell therapy for sarcopenia.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1511-1522"},"PeriodicalIF":2.7,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11917437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, Attitude, and Practice Towards Rehabilitation in Patients with Breast Cancer: A Cross-Sectional Study.","authors":"Yan Zhou, Qin Lu, Xuequn Yu","doi":"10.2147/JMDH.S486270","DOIUrl":"10.2147/JMDH.S486270","url":null,"abstract":"<p><strong>Background: </strong>Research on rehabilitation in breast cancer (BC) patients is scarce. This study explored the knowledge, attitude, and practice (KAP) toward rehabilitation in BC patients who underwent surgery.</p><p><strong>Methods: </strong>This cross-sectional survey study was conducted between August 2022 and February 2023 in eight hospitals in Yixing City, Jiangsu Province. An investigator-designed survey was used to evaluate the participants' KAP toward BC rehabilitation.</p><p><strong>Results: </strong>The analysis included 578 valid surveys. The participants displayed good knowledge, positive attitudes, and proactive practice toward rehabilitation after surgery for BC. The multivariable logistic regression analysis showed that the knowledge scores and attitude scores were independently and positively associated with proactive practice, while age 45-55, age 56-60, ≥ 6 years BC duration, modified radical surgery, and radical surgery were independently and negatively associated with proactive practice (all P < 0.05). The structural equation model revealed a positive direct effect of knowledge on both attitude and practice. In addition, attitudes had a positive direct influence on practice.</p><p><strong>Conclusion: </strong>Patients with BC exhibited favorable KAP rehabilitation after surgery for BC, but targeted education could be needed to enhance specific points of understanding and reinforce proactive engagement in clinical practice.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1483-1492"},"PeriodicalIF":2.7,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Factors for Cognitive Impairment Following Angiographically Negative Subarachnoid Haemorrhage Around the Midbrain.","authors":"Yingfeng Liu, Zhong Li, Wende Xu, Ziyu Zhao, Wei Zhang, Junlong Wu","doi":"10.2147/JMDH.S487479","DOIUrl":"10.2147/JMDH.S487479","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the risk factors for cognitive impairment caused by angiographically negative subarachnoid haemorrhage (SAH).</p><p><strong>Methods: </strong>This retrospective study employed a convenience sampling method to select patients with negative SAH in the midbrain who were admitted to the neurosurgery department of our hospital between September 2018 and September 2023. A total of 69 patients with angiographically negative SAH were enrolled and divided into the cognitive impairment group (n = 16) and the non-cognitive impairment group (n = 53). General demographic and clinical data were collected, and patients' cognitive function was assessed using the Montreal Cognitive Assessment scale. The risk factors of the cognitive impairment caused by angiographically negative SAH were identified by logistic regression analysis.</p><p><strong>Results: </strong>The results of the univariate analysis showed that there were statistically significant differences (<i>p</i> < 0.05) between the two groups of patients in terms of age, consciousness disorders, history of hypertension, ventricular haemorrhage, concurrent hydrocephalus, Glasgow Coma Scale score, Hunt-Hess grading (≥3) and Fisher grading (≥3). The logistic regression results showed that age (<i>p</i> = 0.031), degree of consciousness impairment (<i>p</i> = 0.023), Hunt-Hess grading (<i>p</i> = 0.019), presence of hydrocephalus (<i>p</i> = 0.002) and presence of ventricular haemorrhage (<i>p</i> = 0.021) were independent risk factors for cognitive impairment after angiographically negative SAH (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>Age, degree of consciousness impairment, Hunt-Hess grade (≥3), concomitant ventricular haemorrhage and hydrocephalus are risk factors for cognitive function after angiographically negative SAH.</p>","PeriodicalId":16357,"journal":{"name":"Journal of Multidisciplinary Healthcare","volume":"18 ","pages":"1473-1482"},"PeriodicalIF":2.7,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}